| Mariah Bacon, | |
|
301 N King St., Shepherdstown, WV 25443 | |
| (304) 876-5000 | |
| Not Available |
| Full Name | Mariah Bacon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 301 N King St., Shepherdstown, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083459853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024190164 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Bacon, 301 N King St., Shepherdstown, WV 25443 Ph: () - | Mariah Bacon, 301 N King St., Shepherdstown, WV 25443 Ph: (304) 876-5000 |
Rebecca Baldwin Fuller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 Maddex Dr, Shepherdstown, WV 25443 Phone: 304-876-9422 | |
Leslie Danielle Baugher Stine, CRNP - FAMILY Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Maclaine Way, Shepherdstown, WV 25443 Phone: 304-876-6343 | |
Christine La Porte Palank, RN, MS, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Shepherd Univ Student Health Services, E King St, Shepherdstown, WV 25443 Phone: 304-876-5161 Fax: 304-876-5509 | |
Kalilou Djobo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 S King St, Shepherdstown, WV 25443 Phone: 304-876-5000 | |
Caroline Clagett Mcleod, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Princess St, Shepherdstown, WV 25443 Phone: 304-261-0313 Fax: 304-924-2214 |